| NPI | 1770663163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M HAGEL Owner 425-823-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005258) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-09-12 |